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A client is post-op day one after undergoing an abdominal hysterectomy. The client is in bed and your data collection reveals that the client has shallow breathing. What strategies will you use to help the client?

Possible answers: 
Reinforce the risks of atelectasis and pneumonia to the client due to hypoventilation 
Speak to the client’s RN and the client about pain control to allow for coughing and deep breathing
The student can suggest using an incentive spirometer

Scenario # 2

Your client had a left hip replacement two days ago and is scheduled to start physical therapy. The client is very fearful about moving and the previous nurse did not have success getting the client to cough and deep breathe. What strategies will you use to help the client?

Possible answers:
Reinforce the risks of atelectasis and pneumonia
Speak to the client in a therapeutic, non-threatening manner to help the client work through his fears
Reassure the client that moving, coughing will not cause damage to the client’s hip
Enlist the help of physical therapy, the client’s family, the physician

Scenario # 3

Your client is a six-year-old who had emergency surgery 1 day ago for a ruptured appendix. The child is currently lying in bed refusing to get up, cough, or deep breathe. He yells “no” loudly every time someone tries to speak to him. What will you do?

Possible answers:
Enlist the help of the child’s parents by reinforcing to them why it is so important for the child to cough and deep breathe
Make a game out of coughing and deep breathing exercises
Enlist the help of a child life specialist

Scenario # 4

Your client is a 23-year-old woman who has been in the hospital for 3 days with status asthmaticus. The nurse on the previous shift reported that the client was in bed all day texting and watching TV. What strategies will you use to get this client to cough and deep breathe?

Possible answers:
Reinforce the risks of atelectasis and pneumonia
Ask the client to cough and deep breathe every time a commercial comes on TV
Use therapeutic communication to ascertain why the client is not coughing/deep breathing
 

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HEALTH SCIENCE
NURSING

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